| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $83.18 | $87.10 | $162.18 | |
Aetna
| Professional | $83.18 | $87.10 | $89.13 | |
BCBS
| Facility | $169.82 | $354.81 | $478.63 | |
BCBS
| Professional | $0.02 | $3.80 | $3.80 | |
Cigna
| Facility | $64.57 | $64.57 | $263.03 | |
United
| Facility | $87.10 | $173.78 | $436.52 | |
United
| Professional | $109.65 | $120.23 | $173.78 |